Individual provider Active NPI

Ronald Kent Wilkins Jr., M.S. ED.

  • School Counselor
  • Fort Wayne, IN
National Provider Identifier
1336138056
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
License
750482 Issued in IN
Practice address
1712 Cody Ave
Fort Wayne, IN 46805-5214
Phone
(260) 424-5576
NPI assigned
Oct 14, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39000103A IN
School Counselor 101YS0200X 750482 IN Primary

Addresses

Primary practice location

1712 Cody Ave
Fort Wayne, IN 46805-5214

Mailing address

1712 Cody Ave
Fort Wayne, IN 46805-5214
Phone (260) 424-5576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
39000103AINMDMental Health Counselor
750482INMDSchool Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1336138056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 CODY AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055214",
            "telephone_number": "260-424-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 CODY AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055214",
            "telephone_number": "260-424-5576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "RONALD",
        "middle_name": "KENT",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.S. ED.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39000103A",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "IN",
            "license": "750482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.